SENDER:
COMPLETE THIS
SECTION
I
•
Complete items 1,
2, and 3. Also complete
I
item
4 if Restricted Delivery is desired.
F
U
Print your name and address on
the reverse
so
that
we can
return
the card to you.
F
U
Attach this card to the back of the mailpiece,
or on the front if space permits.
1.
Article Addressed to:
PCB 2003—185
Isam Saed
Swif—T—Food Mart
314 South Lewis Avenue
Waukegan,
IL
60085
/
RECEIVED
CLERK’S OFFICE
AUG
30200k
STATE OF ILLINOIS
PollutIon Control Board
r.gwgpapd:Ibtq~wgt.7i’z.IjI,Jgca!n:e’
A.
Slgnatu
‘
x~p~
?Dcv_e
ft’
Received
by
(Printed Name)
Q~
Date of Delive
‘b\L~tThp~je
~-d&dV
D.
Isdelivery
dressdifterentftomitem 1?
D Yes
If YES, enter delivery address below:
0
No
3.
Service Type
o
Certified MaIl
0
Express Mafl
o
Registered
0
Return
Receipt for Merchandise
o
Insured Mail
0
coD.
4.
Restricted
Delivery? (Extra
Fee)
0
Yes
2.
MIcle
Number
(Transfertromse,vIaQMà)
1160 0005 4126 2540
PS
Form
3811,
February
2004
DomestIc Return
Receipl
102595-02-M.154o
SENflER:
CflMPLETE THIS
SECTION
•
Complete items
1, 2,
and
3.
Also
complete
F
item
4 if Restricted
Delivery Is desired.
•
Print your name and address on
the reverse
so that we can
return the card to you.
U
Attach this
card to the back of the niailpiece,
or on tjie front if space permits.
1.
ArtIcle
Addressed to:
PCB 2003—185
Stephen
F.
Hedinger
Hedinger Law Office
2601 South Fifth Street
Springfield,
IL
62703
a.
servicelype
o
Certified Mall
0
Express
Mail
o
RegIstered
0
Return
ReceIpt for Merchandise
0
Insured Mall
0
c.o.~.
4.
RestrIcted Delivery? (Extra Foe)
0
Yes
2. Mlc~Number
7004
1160
0005
4126
3097
(Trans~r
from
service
tiDe!)
‘CA
~4A~
0
Addressee
~ry
If
YES, enter delIvery eddress below:
0
No
F
PS
Form
3811,
February
2004
Domestic Return
Receipt
102595.02.M.154o
